KEVIN ZETTEK DO NPI 1104039072

NPI Information

  • NPI: 1104039072
  • Provider Name: KEVIN ZETTEK, DO
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 GENESYS PKWY
    GRAND BLANC, MI
    ZIP 48439
  • Phone: (800) 968-6866

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NPI Details

Kevin Zettek, DO is an emergency medical services emergency medicine in Grand Blanc, MI with 22 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Kevin Zettek, DO NPI is 1104039072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 GENESYS PKWY
GRAND BLANC, MI
ZIP 48439-065
Phone: (800) 968-6866
Fax: (616) 532-7230

The NPI 1104039072 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 5/8/2007 and was last updated on 3/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine5101015741MICHIGANNo
2207PE0004XEmergency MedicineEmergency Medical Services5101015741MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00432452OTHERRAILROAD MEDICARE
25179420MEDICAIDMICHIGAN
3B56088104MEDICARE OSCAR/CERTIFICATIONMICHIGAN
4KZ015741OTHERMICHIGANBLUE CROSS BLUE SHIELD
55179466MEDICAIDMICHIGAN
65179448MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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